HAL A LEWIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070917

License Status

EXPIRED

Business

Title

First Name

HAL

Middle

Last Name

LEWIS

Business Name

HAL A LEWIS MD

Original Issue Date

06/23/2017

Effective Date

06/23/2017

Expiration Date

06/22/2018

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

10/25/2018